The nurse who is responsible for following the patient from admission through discharge or resolution of illness while working with a broad range of health care providers is called a:

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Contemporary Ethical Issues in Nursing Questions

Question 1 of 9

The nurse who is responsible for following the patient from admission through discharge or resolution of illness while working with a broad range of health care providers is called a:

Correct Answer: B

Rationale: The correct answer is B: case manager. A case manager is responsible for coordinating care for a patient from admission to discharge, collaborating with various healthcare providers. This role involves managing the patient's overall care plan, ensuring continuity and efficiency. The other choices are incorrect because: A: Nurse manager focuses on managing nursing staff and unit operations, not individual patient care. C: Coordinator of patient-centered care delivery may oversee care coordination but does not necessarily follow the patient throughout the entire care journey. D: Team leader in team nursing care delivery is focused on leading a specific nursing team, not managing the patient's entire care process.

Question 2 of 9

During an admission history and physical, a female patient states, "I use 5000 mg/day of calcium to prevent osteoporosis and to maintain health." The nurse should assess for:

Correct Answer: B

Rationale: The correct answer is B: kidney stones. High calcium intake increases the risk of kidney stones due to excess calcium being excreted in the urine. The nurse should assess for symptoms like flank pain, hematuria, and frequent urination. Excessive bleeding (choice A) is not directly related to high calcium intake. Lower blood sugar (choice C) and jaundice (choice D) are not typically associated with calcium intake.

Question 3 of 9

A nurse practicing on a unit where domestic violence is common wants to learn how to apply nursing theory to practice on this unit. She considers the interrelatedness of the constructs of Watson's Theory of Caring and designs:

Correct Answer: A

Rationale: The correct answer is A: conceptual model of caring. In this scenario, the nurse wants to apply nursing theory to practice in a unit dealing with domestic violence. Watson's Theory of Caring emphasizes the importance of the nurse-patient relationship, which is central when addressing sensitive issues like domestic violence. By considering the interrelatedness of the constructs of this theory, the nurse can develop a conceptual model that guides her practice in providing caring and compassionate care to domestic violence survivors. This model will help her incorporate key elements of caring, such as empathy and respect, into her nursing interventions. Summary: B: Hypothesis of the impact of caring on domestic violence - This choice is incorrect as it focuses on the impact of caring on domestic violence, rather than the application of a nursing theory to practice. C: Proposition of how caring is conceptualized - This choice is incorrect as it only addresses the conceptualization of caring, not the practical application of a nursing theory to practice. D: Theory of scientific

Question 4 of 9

A graduate is preparing for the National Council Licensure Examination for Registered Nurses (NCLEX-RN) examination. Based on the latest practice survey, the candidate would focus the most amount of time on which content?

Correct Answer: B

Rationale: The correct answer is B: Pharmacologic pain management. This is the most important content area to focus on for the NCLEX-RN exam because pain management is a critical aspect of nursing care. Nurses must understand different types of pain, medications used for pain management, side effects, and assessment techniques. Pharmacologic pain management directly impacts patient comfort and quality of care. Rationale: 1. Pain management is a fundamental aspect of nursing care. 2. Pharmacologic pain management knowledge is crucial for safe and effective patient care. 3. NCLEX commonly tests on pharmacological interventions and their implications. 4. Understanding pain management aligns with nursing scope of practice and ethical responsibilities. Other Choices: A: Stages of grief - While important in nursing, this topic is not as high-priority for the NCLEX-RN exam. C: Practices to promote rest and sleep - Important, but not as directly related to pharmacological interventions. D: Prioritization of workload to manage time effectively - Relevant

Question 5 of 9

An interdisciplinary team is evaluating the hospital's care of patients admitted with a myocardial infarction (heart attack) compared to national standards. The team analyzes the hospital's clinical indicator, which would be: (select all that apply)

Correct Answer: A

Rationale: The correct answer is A: aspirin order within 24 hours of discharge. This is a key clinical indicator for evaluating care of heart attack patients as aspirin is a standard treatment to prevent further cardiac events. It is crucial for patient safety and adherence to national guidelines. Choice B is incorrect as patient teaching on smoking cessation, although important, is not a direct clinical indicator for evaluating care of heart attack patients. Choice C is incorrect as beta blocker administration upon arrival is important for heart attack patients, but it is not specific to evaluating the hospital's care compared to national standards. Choice D is incorrect as employer support for stress modification is not a clinical indicator relevant to evaluating care of heart attack patients.

Question 6 of 9

Which functions can be delegated only to another RN with appropriate experience and training? (select all that apply)

Correct Answer: C

Rationale: The correct answer is C because nursing judgment related to withholding medication based on vital signs requires critical thinking, clinical knowledge, and experience. This decision-making process involves assessing the patient's condition, interpreting vital signs, and determining if medication should be given or withheld to ensure patient safety. This function cannot be delegated to someone without the appropriate training and expertise. A: Assessment of skin integrity on the third day of hospitalization can be delegated to other healthcare team members such as LPNs or nursing assistants, as long as they have been trained and deemed competent. B: Evaluation of patient teaching related to turn, cough, and deep breathing exercises can be delegated to other healthcare team members, as long as they have the appropriate training and supervision. D: The statement that RNs do not delegate to other RNs is incorrect. RNs can delegate certain tasks to other RNs based on their scope of practice and level of experience. It is not limited to LPNs or unlicensed assistive personnel.

Question 7 of 9

According to current data related to the nursing shortage: (select all that apply)

Correct Answer: D

Rationale: Rationale for Answer D: The correct answer is D because the statement aligns with current data indicating a strong demand for nurses leading to ample job opportunities. This information is supported by various reports and studies highlighting the ongoing nursing shortage and the need for more healthcare professionals. Employment opportunities for nurses are indeed robust, with job growth projected to continue in the coming years due to factors like an aging population and increasing healthcare needs. Summary of Other Choices: A: Salaries of nurses being competitive with other professionals like teachers may vary depending on location and specialty, but it is not a direct indicator of the nursing shortage. B: The percentage of minority nurses is not directly related to the nursing shortage issue, making this statement irrelevant to the current data on the shortage. C: Job satisfaction and reasons for leaving the nursing profession may include various factors, but fear of contracting diseases is not a primary reason cited in current data on the nursing shortage.

Question 8 of 9

A priority action for the nurse who works with culturally diverse clients is completion of a:

Correct Answer: B

Rationale: The correct answer is B: cultural self-assessment. This is important as it helps the nurse understand their own beliefs, values, and biases, which can impact how they interact with culturally diverse clients. By being self-aware, the nurse can better recognize and address any potential cultural misunderstandings or conflicts. A: Taking a sign language course is not the priority as not all culturally diverse clients are deaf or use sign language. C: While cultural client assessment is important, it is secondary to the nurse understanding their own cultural biases first. D: Taking a course on how to speak Spanish is helpful but may not address the broader cultural competence needed to work with diverse clients.

Question 9 of 9

When deciding whether and when a task should be completed, a nurse must:

Correct Answer: C

Rationale: The correct answer is C: ask, "What will happen if I don't complete the task now?" This is the best approach as it helps prioritize tasks based on their urgency and importance. By considering the consequences of not completing a task immediately, the nurse can focus on critical tasks first to ensure patient safety and efficient workflow. Choice A is incorrect because completing all tasks as they are thought of without prioritizing can lead to neglecting important tasks and compromising patient care. Choice B is incorrect as procrastination is not a professional or effective way to manage tasks in a healthcare setting. Choice D is incorrect as viewing large projects holistically is important, but it doesn't address the immediate need to prioritize individual tasks.

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